Brit Middlesteadt Email & Phone Number

Raleigh, North Carolina, United States

• Credentialing specialist for Surgery Practice and 2 Ambulatory Surgery Centers - 200 providers. • Maintain NCMB, DEA, COI, Board Certification, and immunizations. • Maintain Insurance/Payor contracts and practice profiles, CAQH, NPDB, Md-Staff, Verisys.• Responsible for creating month-end, quarterly and year end reports from Athena system to COO and Practice Controller• Assist COO with report creation and research for Surgeons• Assist with the development, implementation, and staff training of new software systems for the practice• Administrator for Patient Portal and Virtual Signature Capture and point of contact for all issues.• Serve as Super-user and Practice Resource for Non-clinical Operations Departments, Therapy Division, and Central Billing Office

Central Billing Office, Garner Nc

• Created, corrected , and submitted daily claims daily in Athena• Retrieved ERA’s daily for payment posters • Posted all Adjustment / Write-off requests for CBO• Created and uploaded Athena patient statements each week using the WinSCP software• Worked with payors & EDI Services clearinghouse to maintain updated ERA/EFT status for all payors to ensure timely payment• Served as a resource for Central Billing Office, fee schedules and assist with AR as needed• Master File set-up and maintenance (Athena & Misys) • Created Edits with Athena HCM team for clean claim submission (insurance & CPT code specific)• Worked directly with Athena to correct any claim or ERA issues/errors we are experiencing• Served as Super-user and resource for Clinic, Therapy Division, and Central Billing Office. • Administrative duties – Bankruptcy and Deceased Adjustments, Process Attorney Requests for Professional Athletes, Request WC auth for all Professional Athletes and work directly with NCSU staff for student athletes claims• Responsible for providing month-end reports from Misys and Athena to COO and Practice Controller• Coordinated job duties and work-flow for Insurance Verification team and assisting with any eligibility/payor issues• Created AR/CPT reports as requested by the Business Office Manager or COO in Mysis and Athena

Cary, Nc

• Cultivated and maintained positive relationships with payor network contacts• Coordinated the completion of pre-contractual activities (e.g., submission of relevant • Contract documentation and communication outreach for newly approved therapies and Biologics role in the launch• Maintained the accuracy of all executed pharmacy network contracts and communication via Company’s CRM• Managed contracting procedures and documentation with HMOs, PBMs and major health insurance companies• Managed credentialing and re-credentialing functions• Coordinated contract implementations with insurance companies to ensure appropriate claims adjudication• Negotiated underpaid claims based on executed agreement• Managed Letter of Agreements for Limited or Exclusive Distribution specialty Drugs process

Raleigh-Durham, North Carolina Area

Provided training and served as a resource for Patient Account Representative team • Served as liaison to Practice Patient Financial Counselors and the North Carolina State Business Office Patient Account Reps. • Developed and implemented the Centralized Eligibility Department within the Sate Business Office• Processed financial disclosures to determine patient’s eligibility for financial assistance• Created and maintain RealMed/Availity Claim/Payer Edits• Processed weekly and month end reports for Business Office• Served as special projects/proves improvement team member on special projects• Accounts Receivable for North Carolina multi-specialty Oncology practices

Raleigh, North Carolina, United States

• Supervised four full-time employees and student interns• Practice budget, accounts payable, payroll, and daily bank deposits• Responsible for practice compliance: OSHA, HIPAA• Coordinated Insurance contract negotiations• Credentialing - Maintained insurance & hospital credentialing for physicians• Developed and implemented office policies and procedures• Daily responsibilities: charge entry, claims submission, posting insurance and patient payments• Trained front office staff in areas of patient demographic, insurance verification, pre-certification and pre-authorization. • Educated physicians and staff re: ICD-9 & CPT code updates

Fairfax, Va

Greensboro/Winston-Salem, North Carolina Area

Greensboro/Winston-Salem, North Carolina Area

Raleigh-Durham, North Carolina Area

Bachelor Of Arts (B.A.)

Bachelor Of Arts (B.A.)